Knowledge Of Personnel Research Articles

Evidence-based nursing practice and prevention of falls in hospitalized patients

Background: the risk of falls in hospitalized adult patients is a very important topic to develop and investigate since a fall can produce irreparable harm. Every hospitalized patient can suffer a fall which can produce an adverse event. Aim: to analyze the relationship between the evidence-based nursing practice environment and its relationship with knowledge about fall prevention in hospitalized patients. Methods: an observational, descriptive, cross-sectional study was conducted. The sample consisted of 73 nurses. Results: the sample consisted of 80,8 % female nurses. The average age was 37,7 ± 8,4. The average age was 37,7 ± 8,4. 50,7 % of the sample had a Professional Nursing degree. The mean score of the health personnel knowledge survey on fall prevention was 15,1 ± 7,8 points (95 % CI: 13,2444 to 16,8926). No relationship was found between evidence-based nursing practice setting and health care staff knowledge of falls prevention (P=0,2742). Conclusions: adequate levels of both evidence-based nursing practice setting and health care staff knowledge of falls prevention were found. Both indicators were independent and no relationship was found between them or with sociodemographic variables. Therefore, it cannot be affirmed that the level of knowledge regarding falls is a factor that affects the intention to behave in accordance with the implementation of evidence-based practice

Knowledge, attitude and practice of community pharmacy personnel in tuberculosis patient detection: a multicentre cross-sectional study in a high-burden tuberculosis setting

IntroductionControl of tuberculosis (TB) is hampered by suboptimal case detection and subsequent delays in treatment, which is worsened by the COVID-19 pandemic. The community pharmacy is reported as the place...

Determinants of Satisfaction of Inpatients at Datu Beru Takengon Regional General Hospital

The Datu Beru Takengon Hospital is the location of this research, and its purpose is to investigate the factors that influence patient satisfaction. This study is a quantitative research with a cross-sectional study design, which is a measurement of the dependent variable and the independent variable (age, treatment class, and length of treatment) with the dependent variable (physical appearance, handling, responsiveness, assurance, and empathy (SERVQUAL) and making use of the survey method. According to the findings of the research, the variable guarantee with Exp (B) 25,263 has the most significant link with patient satisfaction, making it the most influential factor that determines the level of satisfaction experienced by patients. Whereas physicians and nurses who have high levels of confidence and trust are 25 times more likely to have the same level of satisfaction as their patients. In this context, "assurance" refers to the knowledge, courtesy, and capacity of corporate personnel to develop client faith in the organization, including the knowledge, abilities, politeness, and trustworthiness of the staff. It is possible to draw the conclusion from this research that insurance plays a more significant role than the other variables in determining the degree to which patients are satisfied with the care they get in the inpatient unit. It has been indicated that there is a need for assistance from the administration of the Datu Beru Takengon Hospital in order to boost patient satisfaction. Additionally, the hospital should make an effort to build patient trust in the provision of better services.

The importance of personnel knowledge in the operation of buildings the example of the MILLARZÓWKA LIFE EDUCATION CENTER

Knowledge takes a priority place among other resources and tends to constantly expand, i.e. to increase its resources, and increase their varies, depends primarily on how it is obtained and, above all, on what problems it concerns.The article defines potential sources of knowledge supporting the process of exploitation of a building object and proposes actions to identify, preserve, disseminate and use the knowledge of the organization's personnel, collected in the knowledge base, to increase the efficiency and effectiveness of employees' activities in the operation of the building, on the example of the Natural Education Center "Młynarzówka" .

SA38 Cross-Functional Perceptions on Value and Utility of Real-World Evidence (RWE) within an Emerging Biopharmaceutical Company (EBP)

RWE is becoming increasingly accepted by healthcare stakeholders (e.g., regulators, payers, providers, patients, patient advocacy groups) to support decision-making across the product drug development lifecycle. However, it is unclear how the value and utility of RWE is perceived cross-functionally by EBPs. The objective of this survey was to assess baseline RWE knowledge of varied personnel representing medical and clinical affairs at an EBP and identify key learning opportunities to leverage RWE and optimize execution in the product development lifecycle.

The impact of laboratory staff training workshops on coagulation specimen rejection rates.

BackgroundPre-analytical variables can have a significant adverse impact on the quality and credibility of coagulation test results. Therefore, correct and consistent identification of pre-analytical variables that compromise coagulation specimen quality is of paramount importance. Lack of standardization and heterogeneity among laboratory staff when assessing coagulation specimens can lead to inconsistent identification of these variables. Failure to recognize such pre-analytical variables results in the analysis of poor quality specimens and the authorization of spurious test results.ObjectivesTo determine the impact of a laboratory staff training workshop on coagulation specimen rejection rates and to ascertain the level of knowledge of laboratory personnel concerning coagulation specimen rejection criteria before and after the workshop.MethodsA retrospective three-month audit was performed with rejection data of incorrect blood to additive ratio, clotted, aged and haemolysed specimens collected. Training workshops and evaluation sessions were subsequently presented. A revised standard operating procedure delineating coagulation specimen rejection criteria was implemented and a repeat three-month audit was conducted.ResultsIn total, 13 162 coagulation specimens were received during the initial audit with 1 104 specimens (8.39%) rejected. Following the workshops, the rejection rate increased by 3.49% to 11.88% with 12 743 coagulation specimens received and 1 514 specimens rejected. Evaluation sessions performed before and after the workshops revealed that 95.2% of attendees attained improved knowledge.ConclusionThis study demonstrated the pivotal importance of regular laboratory staff training. The increase in specimen rejection following the workshops signifies their success in educating laboratory personnel regarding the correct identification of pre-analytical variables. Since most pre-analytical variables occur outside the laboratory, educational workshops need to be extended to non-laboratory personnel responsible for specimen collection and transport.

Variations in Police Performance in United Nations Peacekeeping Operations and Domestic Policing in Ghana

The Ghana Police Service is constantly criticised by the Ghanaian public for poor performance and an inability to deal effectively with rising crime rates. Media reports and scholarly research have corroborated these criticisms, citing instances of police brutality, corruption, negligence, ineffectiveness and complicity in crimes. However, with few exceptions, the same police are widely applauded in United Nations peacekeeping operations for their professionalism, outstanding performance, and contributions to restoring peace and the rule of law. This raises the question of why the police’s performance at home differs from its performance in peacekeeping contexts. This article analyses the factors that underpin the perceived variations in police performance at home and internationally. Based on in-depth interviews conducted with relevant stakeholders and the application of assemblage theory to the empirical evidence gathered, it argues that perceived variations in performance have nothing to do with the technical competencies and knowledge of police personnel. Rather, this discrepancy can be explained by factors including: the effects of the colonial legacy on the police; different mandates/tasks in mission and in Ghana; distinct socio-cultural and political dynamics that influence policing; different legal frameworks and principles that govern domestic and international policing; limited availability of human and logistical resources and funding for domestic policing; and different methods for dealing with indiscipline and corruption.

Neonatal resuscitation: A cross-sectional study measuring the readiness of healthcare personnel

Background: The optimal neonatal resuscitation requires healthcare personnel knowledge and experience. This study aims to assess the readiness of hospitals through its healthcare personnel in performing neonatal resuscitation. Methods: This study was an observational study conducted in May 2021 by distributing questionnaires to nurses, midwives, doctors, and residents to determine the level of knowledge and experience of the subject regarding neonatal resuscitation. We conducted the research in four types of hospitals A, B, C, and D, which are defined by the Regulation of the Minister of Health of the Republic of Indonesia by the capability and availability of medical services. The type A hospital is the hospital with the most complete medical services, while type D hospitals have the least medical services. The comparative analysis between participants’ characteristics and the knowledge or experience score was conducted. Results: The total 123 participants are included in the knowledge questionnaire analysis and 70 participants are included in the resuscitation experience analysis. We showed a significant difference (p = 0.013) of healthcare personnel knowledge between the A type hospital (Median 15.00; Interquartile Range [IQR] 15.00–16.00) and the C type hospital (median 14.50; IQR 12.25–15.75). For the experience, the healthcare personnel of type A and type B hospitals have significantly higher experience scores than the type D hospital (p = 0.014; p = 0.007), but we did not find a significant difference between others type of hospital comparison. Conclusions: In this study, we found that the healthcare personnel from type A and type B hospitals are more experienced than the type D hospital in conducting neonatal resuscitation. We suggest more neonatal resuscitation training to improve the readiness of healthcare personnel from type C and type D hospital.

Developing local hospitals for public health excellence

The current study investigated the factors affecting the success of local hospital operations in promoting public health excellence in Thailand. A mixed method approach with focus groups and questionnaires was utilized. The study also depended on descriptive statistics and hierarchical regression analysis. According to the findings, public health providers agreed that the main factors leading to the success of local hospital operations were participation with people in the community, respect, and policy development. Other aspects included the use of devices, tools, medicine or medical supplies, training, and project organization. Meanwhile, the service recipients held the view that any suggestion of information, knowledge, or capability of personnel has an influence on operational guidelines. However, success at higher levels must rely on two things: 1) the location of a local hospital and 2) analysis of the guidelines for developing the services of local hospitals for promoting public health in the future. The study also relied on content analysis. According to the findings, appropriate operating guidelines for local hospitals would comprise policy development for promoting public health, participation by people in the community, and public services by the hospital, including training to increase the potential of personnel and project organization involving health promotion.

Prophylaxis of Venous Thromboembolic Disease: Knowledge, Attitudes and Practices of Health Care Personnel in a Hospital Setting in Parakou in 2017

Aims: To describe the knowledge, attitudes and practices of health care personnel regarding venous thromboembolic disease prophylaxis (VTE) in the hospital setting to Parakou in 2017.
 Study Design: A descriptive cross-sectional study with prospective data collection.
 Place and Duration of Study: Departments of medicine and medical specialties, Departments of surgery and surgical specialties, Departments of gyneco-obstetrics and intensive care at the Hospital University of Parakou (CHUD-B), in northern Benin, between February 2017 and May 2017.
 Methodology: We included all health professionals working in these services who consented to participate. The American College of Chest Physicians (ACCP) guidelines for the management of VTE were used as the reference for the assessment of knowledge, attitudes and practices. The evaluation form consisted of two parts, one addressed to physicians and the other to paramedics. The data were analyzed with SPSS 21 software with a significance level of 5% for comparisons.
 Results: A total of 223 health workers participated in the study. The knowledge level of the health workers was good in 52.47%, attitudes were correct in 37.67% and practices were adequate in 4.32%. Overall, health professionals had a good knowledge-attitude-practice (KAP) score in 5.83% of the cases. Factors significantly associated with a good overall KAP score were practice on medical departments, continuing education of staff, status of doctors, knowledge of VTE guidelines and existence of VTE prevention protocols.
 Conclusion: Venous thromboembolic disease prophylaxis is moderately known by the health care personnel in Parakou, but attitudes and practices are not satisfactory. This highlights the need for continuous training.

Factors Affecting the Effectiveness of Government Expenditure Budget Management In the Case of Ethiopia's Ministry of Finance

The study examined the factors affecting the effectiveness of government expenditure budget management in the case of Ethiopia's Ministry of Finance. The general objective of this study was to assess the factors affecting the effectiveness of expenditure budget management, in carrying out its budget administration responsibilities, ensuring the proper application of laws and regulations, ensuring public accountability, and promoting transparency in the use of government resources. A descriptive survey research design was employed using quantitative and qualitative methods. Closed-ended questionnaires and interviews were collected from MOF staff. The respondents were chosen using stratified and purposive sampling techniques. The survey questionnaire was distributed to 93 people, but only 76 of them responded, yielding an 82 percent response rate. The information was then quantitatively analyzed with Pearson's correlation, multiple linear regression analysis, and descriptive statistics using SPSS 23 versions. In Ethiopia's ministry of finance, the researcher found that there is a significant positive relationship between laws and regulations, budget expert competency, and integrated financial management information systems with budget expenditure management. There is a problem with the MOF salary scale that attracts and retains qualified and experienced experts. Government budget laws and regulations have a significant effect on government budget management. MOF has weaknesses in updating and revising budget laws and regulations. In terms of IFMIS applications, the Ministry uses IFMIS to prepare and execute the budget; however, there is still room for improvement in personnel knowledge and expertise for the effective implementation, operation, and maintenance of IFMIS. The Ministry of Finance should provide training on government budget management, public financial management, and government accounting systems to budget specialists and legislative organs of public accounts standing committees.

Acute Venom Toxicity Determinations for Five Iranian Vipers and a Scorpion

Background: Poisoning due to the bites and stings of venomous snakes and scorpions is a neglected public health problem, particularly in rural areas. Poor health facilities and inadequate knowledge of health care personnel are the major factors that result in envenomated human victims not receiving adequate care and medical attention. There is a great need for up-to-date and effective healthcare knowledge and awareness of the potency and lethality of venomous creatures in Iran. Assessment of the potency, acute toxicity, and lethal effects of venomous creatures come from a variety of specific tests, such as the 50% median lethal dose (LD50) and ample animal experimentations. Methods: In the present study, using modified Reed-Muench method, the LD0, LD50, and LD100 values of the venoms from five Iranian vipers and one scorpion were determined. The studied venomous creatures were: Macrovipera lebetina, Vipera albicornuta, Vipera raddei, Caucasicus intemedius agkistrodon, Montivipera latifii, and one scorpion Hemiscorpius lepturus. The venoms were injected in Albino mice (n=204) intraperitoneally, and their toxicities determined. Results: The results revealed that the LD50 values of the above-mentioned creatures were 3.87, 2.05, 1.63, 1.45, 0.84, and 6.33 mg/kg, respectively. Among the vipers, M. latifii had the most potent venom while M. lebetina’s venom had the lowest toxicity. Conclusion: Theoretically, the determined LD50 values provide for objective comparisons of the toxicity among of the venoms. However, comparison becomes complicated due to variations in the venoms’ LD50. Further, based on the venoms’ toxicity levels, H. lepturus’ venom caused the lowest toxicity in the Albino mice.

Knowledge of the Extension Personnel on Tech-Enabled Platforms (TEP) in Telangana

Agriculture is an educational service which brings information and new technologies to farming communities to enable them to improve their production, income and standard of living. As agricultural extension is the vital component for the growth and development of the society, the inclusion of TEP in agricultural extension system, will defi nitely produce more unimaginable growth in fi eld of agriculture. Hence there is every need for the Agricultural Offi cer to transform their traditional style of functioning to the digital style of functioning which involves more usage of ICTs in their professional activities. Districts of Telangana i.e Mahabubnagar from Southern Telangana zone, Waranagal from Central Telanagana zone and Nizamabad from Northern Telangana zone and20 Agricultural offi cers (AO)and 20 Agricultural extension offi cers (AEO) from each erstwhile district are selected. Thus, a total of 120 extension personnel’s were selected randomly. Ex post-facto research design was used and data was collected interview schedule. The Technology enabled platforms used were Applications like Pantala yajamanyam, Rythu bandhu, Kisan Suvidha and portals like OLMS (Online License Management System), OSSDS (Online subsidy seed distribution system), Farm inventory, Agrisnet, PM kisan yojana, PMKSY, PKVY, m-kisan and Soil health card portal, m- kisan and Kisan Suvidha were not at all used by the AEOs. Knowledge test is conducted and the results AOs had high level of knowledge and AEOs had medium Knowledge.

Knowledge Level of Pre-Hospital Emergency Medical Services Personnel about Ambulance Equipment in Rasht, Iran

Background: Emergency Medical Services (EMS) personnel are often the first to provide healthcare services to the patient in different situations outside the hospital. Due to the sensitivity of this work, knowledge of ambulance equipment can affect the performance of Emergency Medical Services personnel. Objective This study aims to assess the knowledge of pre-hospital EMS personnel in Rasht, Iran about ambulance equipment. Methods: This cross-sectional analytical study was conducted on 84 EMS personnel who were selected from 17 medical centers in Rasht, Iran using a convenience sampling method. The data collection tool was a two-part questionnaire. The first part surveys demographic characteristics (age, gender, work experience, type of employment, education, field of study, history of retraining courses) and the second part assesses the knowledge of ambulance equipment according to the Pre-hospital Emergency Medicine/Equipment User Manual of Iranian Ministry of Health and Medical Education (fourth edition). The data were analyzed in SPSS v. 22 software and the significance level was set at 0.05. Results: Most of participants had a bachelor’s degree, were under permanent employment, and had a degree in nursing and emergency medicine. Their mean work experience was 9.84±6.41 years, and most of them had a history of participating in retraining courses. Their knowledge of ambulance equipment was at a good level. Kruskal-Wallis test showed that their knowledge level had a significant relationship with their type of employment (P<0.001). Conclusion: It is necessary to increase the knowledge level of pre-hospital EMS personnel about ambulance equipment by holding short-term training courses and using simulation methods.

Transformation Education Process Model Development in the Organization

The education as a whole is an important human development aspect which is directed to the receipt of new knowledge, technics and skills. The transformation education as a rule is the object-oriented process but often difficult because in the education process of the group of people the same information can be accepted by each person differently. One of reasons is the experience difference. Each adult person has a personal life experience which firstly extends permanently and secondly influences on the making of different solutions in the whole life process of people as well as on the information perception during the education. Even people with the similar life experience perceive the information differently but most often the collected experience of people is different. This fact shall be taken into account by entities making the transformation training for the purpose of the effectiveness increase of this process most crucially. During the pass of development life cycle stages the entity analyzes its activity for the purpose of problem detection: after the detection of problems, development and realization of managerial solutions for their solving the whole entity activity model is changed in detail that leads to the complete change of the thinking form of all employees who shall carry out the corresponding training. The article describes approaches to the employee transformation training process model development of the entity: because of the high instability of the external environment the employee training process shall become regular; where the personnel knowledge is developed on the basis of the information studied earlier and professional competencies of employees of the level following to qualification characteristics with the certain periodicity are formed.

Case Study on the Diffusion of Digital Dental Technology Innovation

This research employs a case study of a professional dental medical equipment company in Taiwan, cites the theoretical basis of innovation diffusion, and uses the design-thinking double-diamond model to review the company's history of promoting digital IOSs in the market from ground zero. Integrating the theoretical foundations of medical institution procurement and innovation diffusion, this study finds that different target customers have very different perceptions and acceptance of new technologies. The knowledge and attitude of medical personnel are the primary factor affecting new technology procurement, only then will decision-making factors such as financial, functional, and service aspects be further considered.

Optimization of "#infovaksin" covid-19 as an effort to increase coverage of basic immunization for toddlers during the pandemic

During the Covid-19 epidemic, delays/cessation of vaccination services resulted in a drop in basic immunization coverage for children in Sumampir Village owing to restrictions on direct contact and parental concerns. It is thought that education about the Covid-19 vaccination is crucial in order to avoid new concerns in children's health. This service intends to improve health cadre engagement in Sumampir Village in order to achieve a high level of health. The service technique includes giving vaccinations and Covid-19-related materials and training. This program was successful in strengthening the knowledge and abilities of health personnel in the area of child vaccination. In addition, partners may use their interpersonal communication skills to help the community learn about vaccination and Covid-19 vaccines.

The Effect of Travel Personnel Knowledge on Compliance Levels With Covid -19 Health Protocols During the 14-Day Mandiri Isolation Period in Malaka District

The traveler from outside Malacca Regency carried out independent isolation for 14 days by implementing the COVID-19 health protocol, namely washing hands with soap under running water, wearing masks, maintaining distance, not crowding.
 This study aims to analyze the effect of the knowledge of travelers on the level of compliance with the COVID-19 health protocol, using a quantitative analytical research approach or method with a cross sectional study approach. The object of research is the knowledge of travelers in Wehali village, Central Malaka District, which was carried out in December 2020 by filling out a validated questionnaire. The population in the study was 58 respondents, the variables in this study were 2, namely the independent variable was the knowledge of the traveler and the dependent variable was adherence to the COVID-19 health protocol.

Improving the Prehospital Identification and Acute Care of Acute Stroke Patients: A Quality Improvement Project.

Background There are a large number of stroke patients in China, and there is currently a lack of prehospital acute stroke care training programs. Aim To develop a prehospital emergency medical service (PEMS) training program to improve the prehospital identification and acute care of acute stroke. Methods Forty prehospital emergency doctors whose service stations are located within a 10 km radius from Shanghai Pudong New Area Medical Emergency Service Center took this course on November 13, 2014. A questionnaire was designed to evaluate the PEMS personnel's knowledge in stroke and acute stroke care and was conducted before and after training as an assessment of the effectiveness of training. The patient population in this study included a baseline cohort before training and a prospective cohort after training, each composed of patients who were sent to Shanghai East Hospital South Stoke Center within one year. The transit time, final diagnosis, administration of thrombolysis, and door-to-needle time (DNT) were collected and analyzed. Results After the training, 100% of the PEMS personnel were competent to identify stroke cases using the Cincinnati prehospital stroke scale (CPSS). All participants realized that intravenous thrombolysis therapy in a time-sensitive manner is the most effective way to treat acute ischemic stroke. Although there was no difference in first-aid transit time before and after training, the stroke diagnosis rate improved by 6.5% after training (P=0.03). The thrombolysis rate increased to 29.6% from 24.3% but did not reach statistical significance. Compared to 84.0 minutes (standard deviation: 23.1 minutes) before the training, the average DNT after training was 53 minutes (standard deviation: 15.0 minutes), demonstrating a remarkable reduction (P < 0.01). Conclusion The training program effectively improved the PEMS personnel's knowledge in stroke and stroke acute care.

Microbic Mass Destruction - Biological Warfare and Epidemic Prevention in Republican China

In the first half of the twentieth century, the possibility of weaponizing bacteria and waging a biological war became a frequently discussed topic in Europe, America, and Asia. This article traces the discourse on bacteriological warfare (xijunzhan) before, during, and in the aftermath of the Second Sino-Japanese War and puts it in the historical context of the development of biomedical sciences, epidemic prevention, and governance in Republican China. The discussion of biowarfare might be understood as an expression of both the skepticism about the scientization as well as technologization of warfare and the fear of epidemics ravaging China at the time. Considering the prevalence of epidemics in China during the first half of the twentieth century, the horror scenario of biological warfare did not necessarily lead to the direct expansion of or change in actual anti-epidemic measures during the Republican era. However, the very possibility of bacteriological attacks increased the sensitivity and knowledge of decision makers, military personnel, and large parts of the population regarding the threat of infectious disease and epidemics. The dread of enemies dropping vessels filled with disease vectors helped to justify the promulgation and implementation of hygiene protocols, vaccine campaigns, and microbiological knowledge.